HEALTH CARE IN SOUTH AFRICA Who is helping and how

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HEALTH CARE IN SOUTH AFRICAWho is helping and how
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System and Organization

• Post apartheid Resolution
• Primary Health Care (PHC)
• Decentralization through District Health Systems
  ( DHS)
• Public and Private Sectors.

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Health Care Expenditure

• -Total expenditure 8.7 of GDP (R107 Billion)
• -Government expenditure 41.7 of total health
  expenditure ( service pop. 35 million)
• -Private expenditure 58.3 of total health
  expenditure( service pop. 7 million)
• -External funding 0.5 of total health
  expenditure (WHO 2006)

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Health care expenditure

• Government Sources
• Taxes
• Provincial and Local Revenues
• Private Sources
• - Prepaid plans
• - Out of pocket expenses
• - Donations from not for profit organizations.

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Human Resources in Health

• Approximately one physician per thousand of the
  population
• Approximately 4.8 nurses per thousand of the
  population
• Shortage of health personnel in rural areas
• Health worker migration crisis

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Human Resources in Health

• 2006 National Human Resource Plan for Health.
• - Training and distribution of health
  professionals strictly on needs and demands.
• - Favorable working environment to maximize
  efforts

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Human Resources in Health

• Reasonable remuneration and attractive working
  conditions for health personnel.
• Compulsory one year community service for newly
  graduated medical doctors and pharmacists.
• Easy registration and employment for foreign
  medical doctors

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Government Programs

• Services
• - Ambulatory care
• - Inpatient care
• - Acute , sub-acute and chronic care.
• Facilities
• - Adapted to sort of care provided
• - Clinics, community based centers, and
  hospitals.

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Government Programs

• National Strategic Plan (2007-2011)
• -Main body SANAC
• -Main Objectives
• - Reduce new HIV infections by 50
• - Provide treatment, support and care for 80
  of PLWHA

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Government Programs

• Objectives of NSP achieved through
• Prevention
• Treatment, care and support
• Human and legal rights
• Monitoring research and surveillance

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Government Programs

• International Nutrition Program
• Expanded Immunization program
• All working hand- in -hand with private sectors.

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Non Governmental Organizations
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HIV/AIDS epidemic

• Life expectancy is 50.7 years
• Adult prevalence of HIV/AIDS is 17.8-24.3.
• 750,000 people need ARVs (2003 WHO)
• As of March 2005, 104,600 people received ARVs.
  (WHO 2005)

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• 3x5 program
• Emergency ARV scale-up
• Integrated Management of Adolescent and Adult
  Illness (IMAI)
• Childrens Pneumococcal immunizations

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• 8 goals by the year 2015
• Current Rate as of June 2006
• UNAIDS and Implementation Support Plan
• Prevention and reduction of new infections

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Global Fund to fight AIDS, Tuberculosis and
Malaria

• Almost ½ of AIDS-related deaths are caused by
  tuberculosis.
• Country Coordinating Mechanisms (CCMs)

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AIDS Consortium

• On March 6, the AIDS Consortium was voted to
  represent the Community development and NGO
  sector in the South African AIDS Council (SANAC).
  

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• National Health Channel, Mindset
• Five-year plan to be in all 4,000 public health
  care sites, including remote and underserved
  clinics.

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Catholic Relief Services

• Encourages communities to support the sick.
• Trains community volunteers on basic home care
  and counseling techniques.
• Special attention to orphans and other vulnerable
  children.
• Partners with Southern African Catholic Bishops
  Conference (SACBC)

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Biting Back Against Malaria on Africa Malaria
DayEach year, at least 300 million people
worldwide contract serious cases of malaria. Of
those, more than 1 million die the majority of
them young children in Africa. As the world
observes Africa Malaria Day on April 25.
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South Africa Development Fund

• Raised over 4.3 million for grants to community
  projects.
• HIV/AIDS grants

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Youth and HIV/AIDS

• Tsha-Tsha TV Series
• Francois-Xavier Bagnoud (FXB)
• YouthLIFE of Advocates for Youth
• South African Centre for Organizational
  Development (SACORD)
• Lovelife
• LoveTrain
• LoveTours
• Y-Centers

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Gender Inequalities

• One in ten young people are HIV-positive.
• Three quarters of those infected are female.
• Gender and HIV/AIDS web portal
• ICRW and Strengthening Womens Property Rights
• Womens Health Project (WHP)
• Rural Communities Development Programme (RCDP)

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HIV/AIDS and violence against women

• Men As Partners (MAP)
• Mens constructive role in sexual relations
  decisions and reducing gender-based violence.
• The role that gender plays in a mans life.

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Shortage of Health Care Workers

• Sub-Saharan Africa has only 3 of the worlds
  health care workers to battle 24 of the global
  disease burden.
• Shortage of 800,000 health care workers.
• WHOs MDGs unlikely to be met by 2015
• PIH and the African Health Capacity Investment
  Act of 2007.

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Grassroot Efforts
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Treatment Action Campaign

• Medicines Control Council to register Tenofovir.
  
• Make available with a low, stabilized price.

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Medecins sans Frontiers (MSF)

• 2 of South Africans get AIDS treatment.
• Home-based care
• Khayelitsha success story
• MSF Press Release 12/2006 Lusikisiki celebrates
  2,200 people on ARV treatment at hand-over
  ceremony

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Girls Education Movement

• Promoted by UNICEF
• Advocacy materials and capacity development of
  young female activists.
• Gender Advocacy Progamme (GAP)
• Conducts research, training and supports gender
  advocacy and lobbying.

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Traditional Healers Association

• 85 of South Africans consult a traditional
  healer before going to a clinical doctor or
  hospital when they are sick.
• Working in conjunction with clinics for HIV/AIDS
  prevention and treatment.
• Patience Koloko, President of the Traditional
  Healers Association of South Africa